目的对2010-2013年西安市居民糖尿病死亡水平及其变化趋势进行分析,为糖尿病预防与控制提供参考。方法收集2010-2013年西安市居民死因监测资料,采用ICD-10编码进行死因分类,分析城乡居民糖尿病死亡水平和变化趋势。结果 2010-2013年西安市糖尿病死亡率波动在11.91/10万~13.67/10万之间,无明显增高趋势,死亡率随年龄的增长而升高,50岁~组增加明显,80岁~组达最高;男女死亡率无显著差别;主城区死亡率高于郊县(χ2=33.075,P<0.001)。主城区男性糖尿病死亡率显著高于女性(χ2=5.202,P=0.023);郊县男女性死亡率差异无统计学意义(χ2=3.382,P=0.066)。结论西安市居民糖尿病死亡率呈波动变化趋势,男女之间死亡水平差异无统计学意义,城乡之间死亡水平有差别。 Objective To analyze the death level and its changing trend of diabetes among residents in Xi’an in 2010-2013 and provide reference for the prevention and control of diabetes. Methods The data of death caused by inhabitants in Xi’an from 2010 to 2013 were collected. The cause of death was classified by ICD-10 code, and the death level and the trend of diabetes in urban and rural residents were analyzed. Results The mortality rate of diabetes in Xi’an in 2010-2013 fluctuated between 11.91 / lakh and 13.67 / lakh, with no significant increase. The mortality rate increased with the increase of age. There was no significant difference between the male and female mortality rates. The death rate in the main urban area was higher than that in the suburbs (χ2 = 33.075, P <0.001). The prevalence of male diabetes in urban areas was significantly higher than that of women (χ2 = 5.202, P = 0.023). There was no significant difference in male and female mortality rates in suburban areas (χ2 = 3.382, P = 0.066). Conclusion The mortality rate of diabetes in Xi’an residents fluctuated with the difference of death rate between men and women was not statistically significant, and there was a difference in the level of death between urban and rural areas.